van der Merwe Estelle, Makhadi Shumani, Moeng Maeyane S
Trauma Department, University of Witwatersrand, Charlotte Maxeke Academic Hospital, JHB, South Africa.
Trauma Case Rep. 2021 Mar 22;33:100465. doi: 10.1016/j.tcr.2021.100465. eCollection 2021 Jun.
Subclavian artery injuries are complex and challenging due to anatomy and exposure during surgery. The surgical management depends on the mechanism of injury, the patient's haemodynamic stability and other injuries sustained. If control of bleeding is lost during surgery, it results in immediate exsanguination, with high mortality and morbidity rates. New techniques with endovascular surgery have changed the approach and outcome of these injuries. In this case report, an incidental finding of coarctation of the aorta in a 32-year-old man after sustaining a gunshot to the chest, with a subsequent subclavian artery injury is reported.
由于锁骨下动脉的解剖结构以及手术中的暴露情况，锁骨下动脉损伤较为复杂且具有挑战性。手术管理取决于损伤机制、患者的血流动力学稳定性以及所遭受的其他损伤。如果在手术过程中出血控制失败，会导致立即失血，死亡率和发病率很高。血管内手术的新技术改变了这些损伤的处理方法和结果。在本病例报告中，一名32岁男性在胸部遭受枪伤后意外发现主动脉缩窄，随后出现锁骨下动脉损伤。
